A.
Document the statement in the chart for the supervisor to review later
✓
B.
Encourage the client to distract themselves from these thoughts
✓
C.
Assess the lethality of the plan and implement a safety protocol (e.g., hospitalization, constant observation)
✓
D.
Refer the client to a support group
✓
A.
Administer pain medication as ordered
✓
B.
Obtain a detailed medical history
✓
C.
Initiate continuous cardiac monitoring and prepare for oxygen administration
✓
D.
Educate the patient on lifestyle modifications
✓
A.
Tell the patient to stop coughing
✓
B.
Assess respiratory status, notify the physician of possible respiratory infection, and encourage hydration
✓
C.
Administer a sedative
✓
A.
Child is always happy
✓
B.
Extreme shyness, withdrawal, aggression, or delayed development without a clear physical cause
✓
C.
Child has many friends
✓
D.
Child excels in school
✓
A.
Stop the medication immediately
✓
B.
Take the medication with food or milk, and report persistent side effects to the physician
✓
C.
Take on an empty stomach
✓
A.
Advising her to skip prenatal appointments
✓
B.
Connecting her with free or low-cost prenatal clinics and transportation assistance
✓
C.
Telling her to rely on self-care
✓
D.
Ignoring the lack of access
✓
A.
Testing is only for symptomatic individuals
✓
B.
Regular testing is important for sexually active individuals, even if asymptomatic
✓
C.
Testing is not necessary
✓
D.
Testing can be done only in hospitals
✓
A.
Access to social media
✓
B.
Stigma, lack of accessible and affordable services, and adverse childhood experiences (ACEs)
✓
C.
Preference for certain music genres
✓
D.
Availability of video games
✓
A.
Patient needs more insulin
✓
B.
Possible over-insulinization or insufficient carbohydrate intake, requiring physician notification and assessment of diet/activity
✓
C.
Patient needs to eat less
✓
D.
Patient needs a higher dose of oral medications
✓
A.
Using non-sterile gloves for all wound care
✓
B.
Hand hygiene before and after wound care, using clean or sterile supplies as indicated, and proper disposal of waste
✓
C.
Leaving wounds open to air
✓
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